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Search Results (1,244)

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23 pages, 3557 KiB  
Article
Enhancing Inclusive Social, Financial, and Health Services for Persons with Disabilities in Saudi Arabia: Insights from Caregivers
by Ghada Alturif, Wafaa Saleh, Hessa Alsanad and Augustus Ababio-Donkor
Healthcare 2025, 13(15), 1901; https://doi.org/10.3390/healthcare13151901 - 5 Aug 2025
Abstract
Background: Social and financial services are essential for the inclusion and well-being of people with disabilities (PWDs), who often rely on family caregivers to access these systems. In Saudi Arabia, where disability inclusion is a strategic goal under Vision 2030, understanding caregiver experiences [...] Read more.
Background: Social and financial services are essential for the inclusion and well-being of people with disabilities (PWDs), who often rely on family caregivers to access these systems. In Saudi Arabia, where disability inclusion is a strategic goal under Vision 2030, understanding caregiver experiences is crucial to identifying service gaps and improving accessibility. Objectives: This study aimed to explore caregivers’ perspectives on awareness, perceived barriers, and accessibility of social and financial services for PWDs in Saudi Arabia. The analysis is grounded in Andersen’s Behavioural Model of Health Service Use and the WHO’s International Classification of Functioning, Disability and Health (ICF) framework. Methods: A cross-sectional survey was conducted with 3353 caregivers of PWDs attending specialised day schools. The survey collected data on demographic characteristics, service awareness, utilisation, and perceived obstacles. Exploratory Factor Analysis (EFA) identified latent constructs, and Structural Equation Modelling (SEM) was used to test relationships between awareness, barriers, and accessibility. Results: Findings reveal that over 70% of caregivers lacked awareness of available services, and only about 3% had accessed them. Key challenges included technological barriers, complex procedures, and non-functional or unclear service provider platforms. Both User Barriers and Service Barriers were negatively associated with Awareness and Accessibility. Awareness, in turn, significantly predicted perceived Accessibility. Caregiver demographics, such as age, education, gender, and geographic location, also influenced awareness and service use. Conclusions: There is a pressing need for targeted awareness campaigns, accessible digital service platforms, and simplified service processes tailored to diverse caregiver profiles. Inclusive communication, decentralised outreach, and policy reforms are necessary to enhance service access and promote the societal inclusion of PWDs in alignment with Saudi Arabia’s Vision 2030. Full article
(This article belongs to the Special Issue Disability Studies and Disability Evaluation)
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14 pages, 553 KiB  
Systematic Review
Muslim Women Inmates and Religious Practices: What Are Possible Solutions?
by Maria Garro
Healthcare 2025, 13(15), 1890; https://doi.org/10.3390/healthcare13151890 - 2 Aug 2025
Viewed by 152
Abstract
Background/Objectives: Despite legal frameworks acknowledging the need to protect the rights of female prisoners, penitentiary systems often neglect gender-specific needs, particularly for foreign women. Among them, Muslim women face distinct challenges linked to cultural and religious practices, which are frequently unmet in [...] Read more.
Background/Objectives: Despite legal frameworks acknowledging the need to protect the rights of female prisoners, penitentiary systems often neglect gender-specific needs, particularly for foreign women. Among them, Muslim women face distinct challenges linked to cultural and religious practices, which are frequently unmet in prison contexts. This review aims to explore the academic literature on the experiences of Muslim women in detention. Methods: A systematic review was conducted using three major bibliographic databases—Scopus, PubMed, and Web of Science—covering the period from 2010 to 2024. Inclusion criteria focused on peer-reviewed studies examining the condition of Muslim women in prison. Of the initial pool, only four articles met the criteria and were included in the final analysis. Results: The review reveals a marked scarcity of research on Muslim women in prison at both national and international levels. This gap may be due to their limited representation or cultural factors that hinder open discourse. The selected studies highlight key issues, including restricted access to services, limited ability to practice religion, and language and cultural barriers. These challenges contribute to increased psychological vulnerability, which is often underestimated in prison settings. Conclusions: There is an urgent need for targeted research and culturally competent training for prison staff to adequately support Muslim women in detention. Greater academic and institutional attention is essential to develop inclusive policies that consider the intersection of gender, religion, and migration, particularly in the post-release reintegration process. Full article
(This article belongs to the Section Women's Health Care)
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20 pages, 621 KiB  
Article
Support Needs of Agrarian Women to Build Household Livelihood Resilience: A Case Study of the Mekong River Delta, Vietnam
by Tran T. N. Tran, Tanh T. N. Nguyen, Elizabeth C. Ashton and Sharon M. Aka
Climate 2025, 13(8), 163; https://doi.org/10.3390/cli13080163 - 1 Aug 2025
Viewed by 189
Abstract
Agrarian women are at the forefront of rural livelihoods increasingly affected by the frequency and severity of climate change impacts. However, their household livelihood resilience (HLR) remains limited due to gender-blind policies, scarce sex-disaggregated data, and inadequate consideration of gender-specific needs in resilience-building [...] Read more.
Agrarian women are at the forefront of rural livelihoods increasingly affected by the frequency and severity of climate change impacts. However, their household livelihood resilience (HLR) remains limited due to gender-blind policies, scarce sex-disaggregated data, and inadequate consideration of gender-specific needs in resilience-building efforts. Grounded in participatory feminist research, this study employed a multi-method qualitative approach, including semi-structured interviews and oral history narratives, with 60 women in two climate-vulnerable provinces. Data were analyzed through thematic coding, CATWOE (Customers, Actors, Transformation, Worldview, Owners, Environmental Constraints) analysis, and descriptive statistics. The findings identify nine major climate-related events disrupting livelihoods and reveal a limited understanding of HLR as a long-term, transformative concept. Adaptation strategies remain short-term and focused on immediate survival. Barriers to HLR include financial constraints, limited access to agricultural resources and technology, and entrenched gender norms restricting women’s leadership and decision-making. While local governments, women’s associations, and community networks provide some support, gaps in accessibility and adequacy persist. Participants expressed the need for financial assistance, vocational training, agricultural technologies, and stronger peer networks. Strengthening HLR among agrarian women requires gender-sensitive policies, investment in local support systems, and community-led initiatives. Empowering agrarian women as agents of change is critical for fostering resilient rural livelihoods and achieving inclusive, sustainable development. Full article
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36 pages, 1201 KiB  
Article
Between Smart Cities Infrastructure and Intention: Mapping the Relationship Between Urban Barriers and Bike-Sharing Usage
by Radosław Wolniak and Katarzyna Turoń
Smart Cities 2025, 8(4), 124; https://doi.org/10.3390/smartcities8040124 - 29 Jul 2025
Viewed by 336
Abstract
Society’s adaptation to shared mobility services is a growing topic that requires detailed understanding of the local circumstances of potential and current users. This paper focuses on analyzing barriers to the adoption of urban bike-sharing systems in post-industrial cities, using a case study [...] Read more.
Society’s adaptation to shared mobility services is a growing topic that requires detailed understanding of the local circumstances of potential and current users. This paper focuses on analyzing barriers to the adoption of urban bike-sharing systems in post-industrial cities, using a case study of the Silesian agglomeration in Poland. Methodologically, the article integrates quantitative survey methods with multivariate statistical analysis to analyze the demographic, socioeconomic, and motivational factors that underline the adoption of shared micromobility. The study highlights a detailed segmentation of users by income, age, professional status, and gender, as well as the observation of profound disparities in access and perceived usefulness. Of note is the study’s identification of a highly concentrated segment of young, low-income users (mostly students), which largely accounts for the general perception of economic and infrastructural barriers. These include the use of factor analysis and regression to plot the interaction patterns between individual user characteristics and certain system-level constraints, such as cost, infrastructure coverage, weather, and health. The study’s findings prioritize problem-specific interventions in urban mobility planning: bridging equity gaps between user groups. This research contributes to the current literature by providing detailed insights into the heterogeneity of user mobility behavior, offering evidence-based recommendations for inclusive and adaptive options for shared transportation infrastructure in a changing urban context. Full article
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23 pages, 276 KiB  
Article
The Relationship of Grandparents and LGBT (Lesbian, Gay, Bisexual, Transgender) Grandchildren, as Perceived by the Grandparents
by Ahuva Even-Zohar, Tal Abargel, Ofel Mualem and Almog Shaibi
Soc. Sci. 2025, 14(8), 468; https://doi.org/10.3390/socsci14080468 - 28 Jul 2025
Viewed by 420
Abstract
There has been a growing trend of young people coming out as Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ) in recent years. Research on the relationship between LGBTQ grandchildren and their grandparents is limited and primarily focuses on the grandchildren’s perspective. This pilot study [...] Read more.
There has been a growing trend of young people coming out as Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ) in recent years. Research on the relationship between LGBTQ grandchildren and their grandparents is limited and primarily focuses on the grandchildren’s perspective. This pilot study seeks to understand the relationship between grandparents and their LGBT grandchildren, from the grandparents’ perspective. Six Israeli grandparents were interviewed using a qualitative methodology, guided by a semi-structured interview protocol. Analysis of the interviews revealed three main themes: grandparents’ exposure to the grandchildren’s sexual orientation and their gender identity; the shattering of the grandparents’ dream and concern for the grandchild; and the relations between the grandparents and their LGBT grandchildren. The research findings in this pilot study indicate that the relations remained close and did not change following disclosure of the sexual orientation. However, some grandparents needed time to resume their regular relationship. The insights learned from the research findings regarding the process undergone by the grandparents upon discovering their grandchildren’s sexual orientation can help professionals treat and counsel family members, when necessary, how to bridge the gaps, and rebuild the relations between the grandparent and the grandchild, as these relations are important for the well-being of both. Full article
(This article belongs to the Section Family Studies)
45 pages, 1090 KiB  
Review
Electric Vehicle Adoption in Egypt: A Review of Feasibility, Challenges, and Policy Directions
by Hilmy Awad, Michele De Santis and Ehab H. E. Bayoumi
World Electr. Veh. J. 2025, 16(8), 423; https://doi.org/10.3390/wevj16080423 - 28 Jul 2025
Viewed by 570
Abstract
This study evaluates the feasibility and visibility of electric vehicles (EVs) in Egypt, addressing critical research gaps and proposing actionable strategies to drive adoption. Employing a systematic review of academic, governmental, and industry sources, the paper identifies underexplored areas such as rural–urban adoption [...] Read more.
This study evaluates the feasibility and visibility of electric vehicles (EVs) in Egypt, addressing critical research gaps and proposing actionable strategies to drive adoption. Employing a systematic review of academic, governmental, and industry sources, the paper identifies underexplored areas such as rural–urban adoption disparities, lifecycle assessments of EV batteries, and sociocultural barriers, including gender dynamics and entrenched consumer preferences. Its primary contribution is an interdisciplinary framework that integrates technical aspects, such as grid resilience and climate-related battery degradation, with socioeconomic dimensions, providing a holistic overview of EV feasibility in Egypt tailored to Egypt’s context. Key findings reveal infrastructure limitations, inconsistent policy frameworks, and behavioral skepticism as major hurdles, and highlight the untapped potential of renewable energy integration, particularly through synergies between solar PV generation (e.g., Benban Solar Park) and EV charging infrastructure. Recommendations prioritize policy reforms (e.g., tax incentives, streamlined tariffs), solar-powered charging infrastructure expansion, public awareness campaigns, and local EV manufacturing to stimulate economic growth. The study underscores the urgency of stakeholder collaboration to transform EVs into a mainstream solution, positioning Egypt as a regional leader in sustainable mobility and equitable development. Full article
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18 pages, 271 KiB  
Article
AI Pioneers and Stragglers in Greece: Challenges, Gaps, and Opportunities for Journalists and Media
by Sotirios Triantafyllou, Andreas M. Panagopoulos and Panagiotis Kapos
Societies 2025, 15(8), 209; https://doi.org/10.3390/soc15080209 - 28 Jul 2025
Viewed by 422
Abstract
Media organizations are experiencing ongoing transformation, increasingly driven by the advancement of AI technologies. This development has begun to link journalists with generative systems and synthetic technologies. Although newsrooms worldwide are exploring AI adoption to improve information sourcing, news production, and distribution, a [...] Read more.
Media organizations are experiencing ongoing transformation, increasingly driven by the advancement of AI technologies. This development has begun to link journalists with generative systems and synthetic technologies. Although newsrooms worldwide are exploring AI adoption to improve information sourcing, news production, and distribution, a gap exists between resource-rich organizations and those with limited means. Since ChatGPT 3.5 was released on 30 November 2022, Greek media and journalists have gained the ability to use and explore AI technology. In this study, we examine the use of AI in Greek newsrooms, as well as journalists’ reflections and concerns. Through qualitative analysis, our findings indicate that the adoption and integration of these tools in Greek newsrooms is marked by the lack of formal institutional policies, leading to a predominantly self-directed and individualized use of these technologies by journalists. Greek journalists engage with AI tools both professionally and personally, often without organizational guidance or formal training. This issue may compromise the quality of journalism due to the absence of established guidelines. Consequently, individuals may produce content that is inconsistent with the media outlet’s identity or that disseminates misinformation. Age, gender, and newsroom roles do not constitute limiting factors for this “experimentation”, as survey participants showed familiarity with this technology. In addition, in some cases, the disadvantages of specific tools regarding qualitative results in Greek are inhibiting factors for further exploration and use. All these points to the need for immediate training, literacy, and ethical frameworks. Full article
19 pages, 1606 KiB  
Review
Isotopic Studies in South American Mammals: Thirty Years of Paleoecological Discoveries
by Dánae Sanz-Pérez, Rodrigo L. Tomassini and Manuel Hernández Fernández
Geosciences 2025, 15(8), 284; https://doi.org/10.3390/geosciences15080284 - 27 Jul 2025
Viewed by 437
Abstract
Stable isotope analysis has become a key tool in paleontology, providing insights into ancient diets, ecosystems, climates, and environmental shifts. Despite the growing importance of isotopic studies in South America, no comprehensive bibliometric review has been conducted until now. This study addresses that [...] Read more.
Stable isotope analysis has become a key tool in paleontology, providing insights into ancient diets, ecosystems, climates, and environmental shifts. Despite the growing importance of isotopic studies in South America, no comprehensive bibliometric review has been conducted until now. This study addresses that gap, analyzing the development of the field over the past thirty years. Our results show a rapidly expanding discipline, especially in the last five years, with increasing publication rates and participation from South American researchers, particularly in Brazil and Argentina. However, the analysis also reveals persistent biases: notably, a strong focus on the Quaternary period, which limits broader evolutionary interpretations. Keyword co-occurrence points to dominant themes such as paleodiet, paleoecology, and megafaunal extinction, while highlighting new trends like ecological niche modeling and nitrogen isotope applications. The co-authorship network reflects high levels of collaboration, particularly with Spain and the United States. A marked gender imbalance in authorship is also evident, calling attention to the need for greater inclusivity. This review emphasizes the importance of addressing taxonomic and temporal gaps, strengthening interdisciplinary and international networks, and promoting equity in order to ensure the continued growth and global relevance of isotopic paleontology in South America. Full article
(This article belongs to the Section Sedimentology, Stratigraphy and Palaeontology)
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13 pages, 893 KiB  
Article
Children and Adolescents’ Susceptibility to Domoic Acid in Southern China: Preliminary Evidence Revealing Baseline Exposure Profiles and Multidimensional Influencing Factors
by Yuxin Lin, Tingze Long, Siyi Zou, Rui Hua, Meixia Ye, Shengtao Ma and Bo Peng
Toxics 2025, 13(8), 628; https://doi.org/10.3390/toxics13080628 - 26 Jul 2025
Viewed by 531
Abstract
Domoic acid (DA) is a potent neurotoxin that poses public health concerns, especially for children and adolescents during critical neurodevelopmental periods. In the present study, urinary DA concentrations in 216 children and adolescents at the age of 6 to 18 in southern China [...] Read more.
Domoic acid (DA) is a potent neurotoxin that poses public health concerns, especially for children and adolescents during critical neurodevelopmental periods. In the present study, urinary DA concentrations in 216 children and adolescents at the age of 6 to 18 in southern China were determined using a novel dansyl-chloride (DNS-Cl) derivatization high performance liquid chromatography–tandem mass spectrometry (HPLC–MS/MS) method with ultrahigh sensitivity (LOQ: 0.087 ng/mL). The median urinary DA concentration was 2.17 ng/mL (interquartile range (IQR): 0.87–4.08 ng/mL). When analyzed by age group, the medians were 1.40 ng/mL (6–9 years; IQR: 0.55–3.49 ng/mL), 2.16 ng/mL (10–13 years; IQR: 0.94–4.07 ng/mL), and 2.93 ng/mL (14–18 years; IQR: 1.06–5.06 ng/mL). Our findings revealed that urinary DA concentrations increased with age and varied significantly across different body mass index groups (p < 0.05), while no significant gender differences were observed. The estimated daily intake (1.73–374 ng/kg/day) remained below established safety thresholds. This study represents the first systematic biomonitoring of urinary DA exposure in children and adolescents from southern China’s coastal communities, addressing critical knowledge gaps and establishing baseline data amid rising harmful algal bloom frequency. Full article
(This article belongs to the Section Exposome Analysis and Risk Assessment)
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10 pages, 729 KiB  
Review
A Literature Review on Pain Management in Women During Medical Procedures: Gaps, Challenges, and Recommendations
by Keren Grinberg and Yael Sela
Medicina 2025, 61(8), 1352; https://doi.org/10.3390/medicina61081352 - 26 Jul 2025
Viewed by 322
Abstract
Background and Objectives: Gender disparities in pain management persist, with women frequently receiving inadequate analgesia despite reporting similar or higher pain levels compared with men. This issue is particularly evident across various medical and gynecological procedures. Materials and Methods: This integrative [...] Read more.
Background and Objectives: Gender disparities in pain management persist, with women frequently receiving inadequate analgesia despite reporting similar or higher pain levels compared with men. This issue is particularly evident across various medical and gynecological procedures. Materials and Methods: This integrative literature review synthesizes recent empirical studies examining gender biases in pain perception and management, focusing specifically on procedural pain in women. It includes an analysis of clinical research, patient-reported outcomes, and healthcare provider behaviors. Results: The findings indicate that unconscious biases, a lack of gender-specific clinical protocols, and prevailing cultural stereotypes contribute to the undertreatment of pain in women during procedures such as intrauterine device insertion and diagnostic hysteroscopy. Additionally, communication gaps between patients and healthcare providers exacerbate these disparities. Conclusions: Addressing gender disparities in pain management necessitates systemic reforms, including the implementation of gender-sensitive clinical guidelines, enhanced provider education, and targeted policy changes. Personalized, gender-informed approaches are essential to improving equity and quality of care in pain treatment. Full article
(This article belongs to the Section Epidemiology & Public Health)
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25 pages, 639 KiB  
Review
Understanding Sexual Consent Among Adolescents: A 30-Year Scoping Review
by Carolyn O’Connor and Stephanie Begun
Sexes 2025, 6(3), 41; https://doi.org/10.3390/sexes6030041 - 25 Jul 2025
Viewed by 310
Abstract
Sexual consent is one of the most important tools used in the prevention of sexual violence, for which adolescents are especially vulnerable. However, it is unclear how sexual consent processes are defined and used by this population. To bridge this gap in knowledge, [...] Read more.
Sexual consent is one of the most important tools used in the prevention of sexual violence, for which adolescents are especially vulnerable. However, it is unclear how sexual consent processes are defined and used by this population. To bridge this gap in knowledge, this scoping review sought to identify and synthesize the existing empirical research findings on sexual consent conceptualizations and processes among adolescents, as well as determine critical gaps in knowledge. Forty-three articles were reviewed following a systematic search of six academic databases. Articles were included if they were original empirical work published in English between January 1990 and March 2020, included adolescents aged 10 to 17 in their sample, and specifically studied sexual consent conceptualization, communication, and/or behavior. Seventeen articles, diverse in study design and geography, met these criteria and were analyzed. The findings suggest a propensity for adolescents to abstractly define sexual consent as verbal and direct in nature while simultaneously espousing indirect and non-verbal behavioral processes when presented with “real life” scenarios (e.g., vignettes, reflections on personal experience). In addition, the results reveal the significance of concepts like gender norms, normative refusals, and silence as key aspects of adolescent sexual consent. This review demonstrates that research on sexual consent among adolescents is highly limited overall, and the findings that are available indicate some concerning perceptions. Full article
(This article belongs to the Section Sexual Behavior and Attitudes)
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16 pages, 718 KiB  
Proceeding Paper
Strategic Pathways for Applying Food Processing Principles in the Implementation of Nutrition-Smart and Nutrition-Sensitive Agriculture in West Africa
by Sedo Eudes L. Anihouvi, Kyky Komla Ganyo, G. Esaïe Kpadonou, Rebeca Edoh, Caroline Makamto Sobgui and Niéyidouba Lamien
Proceedings 2025, 118(1), 18; https://doi.org/10.3390/proceedings2025118018 - 25 Jul 2025
Viewed by 259
Abstract
West Africa faces persistent food and nutrition insecurity despite agricultural efforts, exacerbated by population growth, climate change, and socio-economic vulnerabilities. This study argues that integrating food processing principles with nutrition-sensitive agriculture (NSA) and nutrition-smart agriculture (NSmartAg) offers a transformative solution for human health. [...] Read more.
West Africa faces persistent food and nutrition insecurity despite agricultural efforts, exacerbated by population growth, climate change, and socio-economic vulnerabilities. This study argues that integrating food processing principles with nutrition-sensitive agriculture (NSA) and nutrition-smart agriculture (NSmartAg) offers a transformative solution for human health. Therefore, we delineate these interconnected concepts and highlight their synergistic potential for a nutrition-focused food system. Likewise, critical analysis of key regional challenges, including infrastructural weaknesses, policy gaps, and gender inequities, was made prior to identifying significant opportunities for leveraging food processing as a strategic entry point to accelerate the implementation of NSA and NSmartAg. Based on these insights, six strategic pathways are proposed to achieve this objective: (i) integrating food processing into policies; (ii) investing in interdisciplinary R&D that puts nutrition and health benefits at the forefront of desired outcomes along with others; (iii) strengthening farmer and food processor capacities; (iv) improving agri-food infrastructure; (v) fostering multi-sectoral collaboration; and (vi) prioritizing youth engagement and market development. By adopting these integrated strategies, West African countries can build more resilient, equitable, and nutrition-centered food systems, ultimately improving public health outcomes and fostering sustainable regional development. Full article
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10 pages, 195 KiB  
Brief Report
Digital Divide: Contrasting Provider and User Insights on Healthcare Services During the COVID-19 Pandemic
by Olympia Anastasiadou, Panagiotis Mpogiatzidis, Katerina D. Tzimourta and Pantelis Angelidis
Healthcare 2025, 13(15), 1803; https://doi.org/10.3390/healthcare13151803 - 25 Jul 2025
Viewed by 245
Abstract
Introduction: This prospective descriptive study explored the disparities in perceptions and experiences regarding healthcare services between providers and users during the COVID-19 pandemic, with a specific focus on the impact of the digital divide on access to and quality of care. The study [...] Read more.
Introduction: This prospective descriptive study explored the disparities in perceptions and experiences regarding healthcare services between providers and users during the COVID-19 pandemic, with a specific focus on the impact of the digital divide on access to and quality of care. The study revealed significant inconsistencies in the experiences of healthcare providers and patients, particularly regarding the effectiveness of digital health interventions. Methods: This study was a prospective descriptive analysis conducted to evaluate and compare the use of electronic healthcare services between healthcare employees (HΕs) (N = 290) and consumers (Cs) (N = 263) from December 2024 to May 2025, utilizing an electronic survey after the COVID-19 pandemic. To ensure the statistical validity of the sample size, a power analysis was performed using G*Power 3.1.9.2 software. A questionnaire was developed to evaluate the readiness of healthcare employees and consumers for electronic healthcare services. It was validated to ensure reliability within this population and comprised 49 questions. Results: The response rate of the participants was 89.19%, and the Cronbach’s alpha for the questionnaire was 0.738. The study revealed notable differences in perceptions regarding health-related information and digital health technologies across genders and age groups. Specifically, 28.8% of females and 27.3% of males considered it important to be well-informed about health issues (χ2 = 8.83, df = 3, p = 0.032). Conclusions: This research contributes to filling a gap in comparative analyses of provider and user perspectives, offering a comprehensive view of how digital health was adopted and experienced during a global crisis. Practically, it provides an evidence base to guide future interventions aimed at fostering more equitable, resilient, and user-friendly digital healthcare systems. Full article
(This article belongs to the Special Issue Implications for Healthcare Policy and Management)
16 pages, 810 KiB  
Article
Rickettsioses Seropositivity in Malaysia: A Six-Year Trend, 2016–2021
by Bee Yong Tay, Fashihah Sherina Abdul Hadi Sabri, Zamtira Seman, Norlela Othman, Haida Subakir, Zahrul Laili Abd Hadi, Adilahtul Bushro Zaini, Norli Anida Abdullah, Nur Anisah Mohamed, Mohammad Yazid Abdad and Siti Roszilawati Ramli
Trop. Med. Infect. Dis. 2025, 10(8), 205; https://doi.org/10.3390/tropicalmed10080205 - 24 Jul 2025
Viewed by 265
Abstract
Background: Rickettsioses are diseases caused by obligate intracellular non-motile coccobacilli transmitted via arthropods. The most common rickettsioses are scrub typhus (ST), typhus group rickettsioses (TGR), and spotted fever group rickettsioses (SFGR). This study aims to provide information and insight into rickettsioses seropositivity among [...] Read more.
Background: Rickettsioses are diseases caused by obligate intracellular non-motile coccobacilli transmitted via arthropods. The most common rickettsioses are scrub typhus (ST), typhus group rickettsioses (TGR), and spotted fever group rickettsioses (SFGR). This study aims to provide information and insight into rickettsioses seropositivity among suspected patients in East and Peninsular Malaysia over a six-year period from 2016 to 2021. Methodology/Principal Findings: Data obtained from four state hospitals and one national research institute providing rickettsial serological testing were analyzed using the IBM SPSS (Statistical Package for the Social Sciences) software program. The six-year analysis revealed that ST had the highest number of seropositivity cases, followed by TGR, and SFGR, for both immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies. Of the 3228 samples, 21.6%, 16.1%, and 13.9% of suspected patients were IgM seropositive for ST, TGR, and SFGR, respectively. IgG seropositivity for ST was 21.9%, followed by TGR at 21.4%, and SFGR at 17.2% among suspected rickettsioses cases. All regions in Malaysia were significantly associated with IgM seropositivity for ST, TGR, and SFGR. IgM seropositivity for SFGR was significantly higher in females. Age group 41–65 years was highly associated with IgG seropositivity for ST, TGR, and SFGR. Conclusions/Significance: Analysis of six-year data on ST, TGR, and SFGR seropositivity in Malaysia revealed variations across regions, age groups, and genders. This seropositivity study underscores ST, TGR, and SFGR as possible causes of acute febrile illness among patients suspected of rickettsial disease in Malaysia. The findings contributed to the awareness of reemerging rickettsioses and warrant public health interventions that may reduce the incidence of rickettsioses in Malaysia. Abstract summary: Scrub typhus (ST), typhus group rickettsioses (TGR), and spotted fever group rickettsioses (SFGR) are significant global public health concerns. Our results showed that the highest number of IgM and IgG seropositivity cases was observed for ST, followed by TGR and SFGR. All regions in Malaysia were significantly associated with IgM seropositivity for ST, TGR, and SFGR. East Malaysia exhibited significantly higher seropositivity for ST, TGR, and SFGR than other regions in Malaysia. IgM seropositivity for SFGR was significantly higher in females. The age group 41–65 years was highly associated with IgG seropositivity for ST, TGR, and SFGR. This study highlights the value of serological data in uncovering the hidden burden of disease in Malaysia. In addition, the findings contributed to bridging knowledge gaps on the limited data from Malaysia spanning extended periods, despite being one of the countries in the endemic Tsutsugamushi Triangle. The findings from this study may direct future research on rickettsioses and warrant public health interventions in Malaysia. Full article
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30 pages, 453 KiB  
Article
Integrating Energy Justice and SDGs in Solar Energy Transition: Analysis of the State Solar Policies of India
by Bhavya Batra, Karina Standal, Solveig Aamodt, Gopal K. Sarangi and Manish Kumar Shrivastava
Energies 2025, 18(15), 3952; https://doi.org/10.3390/en18153952 - 24 Jul 2025
Viewed by 866
Abstract
The transition to clean energy is not inherently positive or negative, and its impacts depend on the social context, power relations, and mechanisms to include marginalized voices. India, with its ambitious climate targets and commitment to the UN SDG Agenda, is a key [...] Read more.
The transition to clean energy is not inherently positive or negative, and its impacts depend on the social context, power relations, and mechanisms to include marginalized voices. India, with its ambitious climate targets and commitment to the UN SDG Agenda, is a key country for ensuring an inclusive and sustainable transition. This paper aims to understand whether India’s commitment to the SDG Agenda’s overarching principle of ‘leaving no one behind’ is reflected in the design of its domestic solar policies. It analyzes how energy justice concerns are addressed in state-level solar policies. To that end, a pragmatic framework was developed to identify key justice dimensions and indicators, linked to the SDG targets, that are essential for an inclusive transition. This research conducted a qualitative interpretive content analysis of 29 solar energy policies, using the three identified framework dimensions—income growth, enhancing inclusion, and equal opportunities. We found that the themes around energy access, employment, and skill development are reflected in policies, while those around the inclusion of the poor, women, and community remain limited. The findings indicate that the policies have focused on low-impact justice concerns, lacking structural transformation. To address these gaps, the study proposes targeted subsidies, community ownership, and gender-inclusive mechanisms. The framework offers a pragmatic tool for the evaluation of clean energy policies in the Global South, and the empirical results provide insights for the synergistic implementation of the climate and sustainable development agenda. Full article
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